Key result
Open right adrenalectomy reveals a rare benign adrenal hemangioma mimicking adrenocortical carcinoma on CT.
Why the study?
Adrenal hemangiomas are rare, benign, nonfunctional adrenal incidentalomas that mimic adrenocortical carcinoma on CT imaging, complicating diagnosis and management.
Case Report (n=1)
Adrenal hemangiomas are rare, benign tumors that can mimic adrenocortical carcinoma on CT imaging, often prompting surgical resection.
Adrenal hemangioma warrants consideration in suspicious adrenal masses; extends known imaging mimics but remains hypothesis-generating.
OBJECTIVE: We present a case of an adrenal hemangioma, an uncommon cause of an adrenal mass, and review the clinical presentation, work-up, and management of adrenal incidentalomas. BACKGROUND: A 64-year-old male was found to have a right adrenal incidentaloma during work-up for elevated liver transaminase levels, later found to be from hepatitis C. The mass was suspicious for adrenocortical carcinoma on CT imaging. Biochemical evaluation revealed no evidence of function. He underwent an open right adrenalectomy. The mass was found to be an adrenal hemangioma on histopathologic analysis. METHODS: This is a case report with pertinent review of the diagnosis and management of adrenal incidentalomas. RESULTS: Adrenal hemangiomas are rare, benign, nonfunctional tumors typically found during imaging for other reasons. As illustrated by this case, they appear similar to adrenocortical carcinoma on CT imaging. The diagnosis is usually not made prior to surgical resection. CONCLUSION: Adrenal hemangioma is a rare nonfunctional adrenal incidentaloma that displays atypical features on CT imaging. The suspicion for adrenocortical carcinoma usually prompts adrenalectomy.
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Lavingia et al. (2018) conducted a case report in Adrenal incidentaloma (n=1). Open right adrenalectomy was evaluated. Open right adrenalectomy in a 64-year-old male with a suspicious adrenal mass revealed a rare, benign adrenal hemangioma mimicking adrenocortical carcinoma on CT imaging.
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